The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE
OMB APPROVAL
OMB Number: 3235-0006
Estimated average burden
hours per response: 23.8
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY
NAME OF ISSUER TITLE OF CLASS CUSIP (x$1000) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
ABBVIE INC COM 00287Y109 5,816 79,980 SH   SOLE   79,980 0 0
ABIOMED INC COM 003654100 7,815 30,000 SH Put SOLE   30,000 0 0
ACASTI PHARMA INC CL A NEW 00430K402 380 333,099 SH   SOLE   333,099 0 0
ACCURAY INC COM 004397105 3,096 800,000 SH Call SOLE   800,000 0 0
ADAPTIVE BIOTECHNOLOGIES COR COM 00650F109 1,691 35,000 SH   SOLE   35,000 0 0
ALLERGAN PLC SHS G0177J108 7,887 47,109 SH   SOLE   47,109 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 4,561 235,204 SH   SOLE   235,204 0 0
AMYRIS INC COM NEW 03236M200 882 247,668 SH   SOLE   247,668 0 0
APTOSE BIOSCIENCES INC COM NEW 03835T200 392 150,000 SH   SOLE   150,000 0 0
APYX MEDICAL CORPORATION COM 03837C106 2,670 397,272 SH   SOLE   397,272 0 0
ARQULE INC COM 04269E107 6,978 633,789 SH   SOLE   633,789 0 0
ARQULE INC COM 04269E107 11,711 1,063,700 SH Call SOLE   1,063,700 0 0
AVANOS MED INC COM 05350V106 3,707 85,000 SH   SOLE   85,000 0 0
AVANTOR INC COM 05352A100 4,773 250,000 SH   SOLE   250,000 0 0
AXOGEN INC COM 05463X106 3,960 200,000 SH Put SOLE   200,000 0 0
AXONICS MODULATION TECHNOLOG COM 05465P101 2,663 65,000 SH   SOLE   65,000 0 0
AXSOME THERAPEUTICS INC COM 05464T104 201 7,800 SH   SOLE   7,800 0 0
BAXTER INTL INC COM 071813109 3,071 37,500 SH   SOLE   37,500 0 0
BECTON DICKINSON & CO COM 075887109 12,601 50,000 SH Call SOLE   50,000 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106 2,907 625,235 SH   SOLE   625,235 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 13,137 300,000 SH Call SOLE   300,000 0 0
BIOTELEMETRY INC COM 090672106 2,408 50,000 SH Put SOLE   50,000 0 0
BOSTON SCIENTIFIC CORP COM 101137107 10,100 235,000 SH   SOLE   235,000 0 0
BROOKS AUTOMATION INC NEW COM 114340102 3,681 95,000 SH   SOLE   95,000 0 0
BRUKER CORP COM 116794108 4,995 100,000 SH   SOLE   100,000 0 0
CATALENT INC COM 148806102 4,337 80,000 SH   SOLE   80,000 0 0
COHERUS BIOSCIENCES INC COM 19249H103 2,413 109,196 SH   SOLE   109,196 0 0
CONCERT PHARMACEUTICALS INC COM 206022105 2,699 224,900 SH Call SOLE   224,900 0 0
CONMED CORP COM 207410101 4,279 50,000 SH   SOLE   50,000 0 0
CRYOLIFE INC COM 228903100 2,095 70,000 SH   SOLE   70,000 0 0
DANAHER CORPORATION COM 235851102 7,146 50,000 SH   SOLE   50,000 0 0
DEXCOM INC COM 252131107 9,333 62,287 SH   SOLE   62,287 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 10,764 489,490 SH   SOLE   489,490 0 0
ETF MANAGERS TR ETFMG ALTR HRVST 26924G508 13,464 425,000 SH Put SOLE   425,000 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 15,490 200,000 SH Put SOLE   200,000 0 0
FLUIDIGM CORP DEL COM 34385P108 2,957 240,000 SH   SOLE   240,000 0 0
GILEAD SCIENCES INC COM 375558103 6,756 100,000 SH   SOLE   100,000 0 0
GLAUKOS CORP COM 377322102 2,262 30,000 SH   SOLE   30,000 0 0
GLAUKOS CORP COM 377322102 4,901 65,000 SH Call SOLE   65,000 0 0
GLOBUS MED INC CL A 379577208 8,460 200,000 SH Put SOLE   200,000 0 0
GREENLANE HLDGS INC CL A 395330103 4,459 464,998 SH   SOLE   464,998 0 0
GUARDANT HEALTH INC COM 40131M109 6,043 70,000 SH   SOLE   70,000 0 0
GUARDANT HEALTH INC COM 40131M109 12,276 142,200 SH Put SOLE   142,200 0 0
ICU MED INC COM 44930G107 19,931 79,119 SH   SOLE   79,119 0 0
ICU MED INC COM 44930G107 10,076 40,000 SH Call SOLE   40,000 0 0
INCYTE CORP COM 45337C102 2,406 28,318 SH   SOLE   28,318 0 0
INCYTE CORP COM 45337C102 8,496 100,000 SH Call SOLE   100,000 0 0
INOGEN INC COM 45780L104 3,338 50,000 SH Call SOLE   50,000 0 0
INSPIRE MED SYS INC COM 457730109 24,260 400,000 SH   SOLE   400,000 0 0
INSPIRE MED SYS INC COM 457730109 6,065 100,000 SH Call SOLE   100,000 0 0
INTEGRA LIFESCIENCES HLDGS C COM NEW 457985208 1,396 25,000 SH   SOLE   25,000 0 0
INTERSECT ENT INC COM 46071F103 7,074 310,826 SH   SOLE   310,826 0 0
INTERSECT ENT INC COM 46071F103 4,552 200,000 SH Call SOLE   200,000 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101 3,894 300,000 SH Call SOLE   300,000 0 0
INVACARE CORP COM 461203101 4,825 929,576 SH   SOLE   929,576 0 0
IRHYTHM TECHNOLOGIES INC COM 450056106 7,908 100,000 SH Put SOLE   100,000 0 0
ISHARES TR U.S. MED DVC ETF 464288810 24,072 100,000 SH Put SOLE   100,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 34,210 220,000 SH Put SOLE   220,000 0 0
KALA PHARMACEUTICALS INC COM 483119103 1,905 298,599 SH   SOLE   298,599 0 0
LIVANOVA PLC SHS G5509L101 2,159 30,000 SH   SOLE   30,000 0 0
LIVANOVA PLC SHS G5509L101 2,878 40,000 SH Put SOLE   40,000 0 0
MASIMO CORP COM 574795100 5,581 37,500 SH   SOLE   37,500 0 0
MERIT MED SYS INC COM 589889104 5,956 100,000 SH Put SOLE   100,000 0 0
MISONIX INC COM 604871103 2,365 93,045 SH   SOLE   93,045 0 0
MYRIAD GENETICS INC COM 62855J104 5,556 200,000 SH Call SOLE   200,000 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 21,880 720,915 SH   SOLE   720,915 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 7,436 245,000 SH Call SOLE   245,000 0 0
NOVAVAX INC COM NEW 670002401 1,921 327,800 SH Call SOLE   327,800 0 0
OMNICELL COM COM 68213N109 4,302 50,000 SH Put SOLE   50,000 0 0
ORTHOFIX MED INC COM 68752M108 4,960 93,794 SH   SOLE   93,794 0 0
ORTHOPEDIATRICS CORP COM 68752L100 5,632 144,408 SH   SOLE   144,408 0 0
OTONOMY INC COM 68906L105 2,732 993,463 SH   SOLE   993,463 0 0
PERSONALIS INC COM 71535D106 1,765 65,000 SH   SOLE   65,000 0 0
QUOTIENT LTD SHS G73268107 2,045 218,676 SH   SOLE   218,676 0 0
QUOTIENT LTD SHS G73268107 1,052 112,500 SH Call SOLE   112,500 0 0
R1 RCM INC COM 749397105 8,141 647,141 SH   SOLE   647,141 0 0
REGENERON PHARMACEUTICALS COM 75886F107 6,260 20,000 SH   SOLE   20,000 0 0
SILK RD MED INC COM 82710M100 2,423 50,000 SH   SOLE   50,000 0 0
SMITH & NEPHEW GROUP PLC SPDN ADR NEW 83175M205 10,885 250,000 SH   SOLE   250,000 0 0
SMITH & NEPHEW GROUP PLC SPDN ADR NEW 83175M205 6,531 150,000 SH Call SOLE   150,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 43,950 150,000 SH Put SOLE   150,000 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108 4,305 500,000 SH Put SOLE   500,000 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 15,824 538,600 SH   SOLE   538,600 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 6,058 206,200 SH Call SOLE   206,200 0 0
STEMLINE THERAPEUTICS INC COM 85858C107 2,353 153,598 SH   SOLE   153,598 0 0
STRYKER CORPORATION COM 863667101 12,335 60,000 SH Call SOLE   60,000 0 0
SYNEOS HEALTH INC CL A 87166B102 255 5,000 SH   SOLE   5,000 0 0
TANDEM DIABETES CARE INC COM NEW 875372203 645 10,000 SH   SOLE   10,000 0 0
TG THERAPEUTICS INC COM 88322Q108 3,068 354,719 SH   SOLE   354,719 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102 3,044 39,000 SH   SOLE   39,000 0 0
UNITEDHEALTH GROUP INC COM 91324P102 7,320 30,000 SH Put SOLE   30,000 0 0
VANECK VECTORS ETF TR PHARMACEUTICAL 92189F692 5,867 100,000 SH Put SOLE   100,000 0 0
VAPOTHERM INC COM 922107107 3,220 140,000 SH   SOLE   140,000 0 0
VIEWRAY INC COM 92672L107 7,489 850,000 SH   SOLE   850,000 0 0
VIEWRAY INC COM 92672L107 881 100,000 SH Call SOLE   100,000 0 0
VISTAGEN THERAPEUTICS INC COM NEW 92840H202 308 425,000 SH   SOLE   425,000 0 0
WRIGHT MED GROUP N V ORD SHS N96617118 3,653 122,500 SH   SOLE   122,500 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 18,838 160,000 SH   SOLE   160,000 0 0